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Individual

BRETT CARDON PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1244 NO MAIN ST., STE 201, TOOELE, UT 84074
(435) 882-3968
(435) 882-3859
Mailing address
1244 NO MAIN ST., STE 201, TOOELE, UT 84074
(435) 882-3968
(435) 882-3859

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
277544-1205
UT
207R00000X
Internal Medicine Physician
Primary
277544-1205
UT

Other

Enumeration date
05/25/2006
Last updated
08/30/2024
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